Sample ResScan Report for VPAP Adapt SV

John, thank you for posting these results and reports. I am truly "in the egg" and your info and the discussions you generate with the others who are in-the-know, while completely over my head, still teach me a lot and I'm grateful they're here on the Forum for reference -- for us as well as for anyone else like us who is brand new to the Adapt SV.

SWS

Welcome back & get well soon. Not good to end a nice vacation that way !.

Re dllfo, I recall (from the distant past) him saying that as a small kid he swallowed out of a bottle of drano
& he attributed that to causing some of the damage he suffers.

I did hear from him some few months back & hope he is still ok.

DSM

#2 - just found this comment from him

viewtopic.php?f=1&t=34360&p=293578&hilit=drano#p293578

FeistyWifey wrote:... I am truly "in the egg" and your info and the discussions you generate with the others ...

It's my pleasure to share. Others share their insight. I learn. And by methodically working through things like this others learn as well. It's the best approach I've found to learn. There's an old saying that the best way to learn is to teach something. But realize that those you teach can often teach as much as you provide.

If someone wondered about the "I am but an egg", it comes from my love of science fiction stories. Robert A. Heinlein made that phrase fairly famous in his novel "Stranger in a Strange Land":

http://en.wikipedia.org/wiki/Stranger_in_a_Strange_Land

Not that I claim this is true for me, but the protagonist (Michael Valentine Smith) constantly claims "I am but an egg", yet constantly demonstrates he far exceeds others based on his "unique" education.

I use it to indicate that though I spent a good bit of time learning about xPAP therapy, I am NOT a medical professional. I am just a very interested party who wants to better understand his situation. Sometimes that understanding can allow me to help better guide my healthcare team - by articulating details clearly and/or asking pointed questions.

I don't always want the answer that I find. But by being an educated patient and asking questions, I make certain the proposed solutions meet my specific needs.

-SWS wrote:... The excessive daytime tiredness, mystery desaturations, and perhaps some central dysregulation were fixed by the heart surgery. However, dllfo must still manage his concomitant VCD. He must also continue using his ASV to address outstanding obstruction and central dysregulation. ...

Again, thanks for the pointer. It's wonderful to hear the good prognosis for dllfo !! And it's always a good thing to remember that no matter how difficult we find our own path, we need to just compare our path to what others face (often with wonderful grace).

dsm wrote: Re dllfo, I recall (from the distant past) him saying that as a small kid he swallowed out of a bottle of drano
& he attributed that to causing some of the damage he suffers.

Thanks for that reminder. On a positive note dllfo's physical health throughout adulthood was apparently sufficient to serve a military career right up until retirement. However, I agree the childhood accident with Drano might have very well contributed to his VCD and SDB issues many years later.

I hope dllfo is doing well also. I noticed his last post was July 23, 2009... Not at all an unusual absence IMHO, however.

JohnBFisher wrote:

-SWS wrote:... The excessive daytime tiredness, mystery desaturations, and perhaps some central dysregulation were fixed by the heart surgery. However, dllfo must still manage his concomitant VCD. He must also continue using his ASV to address outstanding obstruction and central dysregulation. ...

Again, thanks for the pointer. It's wonderful to hear the good prognosis for dllfo !! And it's always a good thing to remember that no matter how difficult we find our own path, we need to just compare our path to what others face (often with wonderful grace).

Agreed. Hail to all kind souls who bear their own difficult burdens with grace as they help others. Many kind kudos to all of you---including dllfo! You too, John!

-SWS wrote:... Agreed. Hail to all kind souls who bear their own difficult burdens with grace as they help others. Many kind kudos to all of you---including dllfo! You too, John! ...

Oh, my feet are definitely made of clay. I got some bad health news today and am feeling rather depressed. Though I dropped my A1c numbers, my kindeys appear to be "out of spec". Sigh! It's one battle or another. Hopefully the new doctor will be able to help avoid any further problems. I know I will get back to my normal self, but it can be an uphill battle.

For those who asked for the detailed reports, I offer the following:

Detailed for the day (excludes sleep earlier in the evening):
... http://fisherfindings.com/images/person ... ic-day.pdf

First two hours in detail:
... http://fisherfindings.com/images/person ... etail1.pdf

Pulse Oximeter Output for that first two to three hours:
... http://fisherfindings.com/images/person ... ulseox.pdf

Second two hours in detail:
... http://fisherfindings.com/images/person ... etail2.pdf

Based on input here, I purchased the CMS-50E pulse oximeter. I knew my sleep was consistently not "right". So, I wanted to see if something else might be an issue. And sure enough, I have fairly significant O2 desaturations during the night. Not horrible, but not up to snuff.

John,

Re the SpO2 data - you mention having desats but I can't see any in the data ? - unless they are very tiny (not visible in the current granularity).

I think we have the same SpO2 device & am sure my program allows the granularity to be adjusted. I can see events being flagged & from memory they can be events caused by a quick change in SpO2 % even though the % may remain above 88%.

Cheers DSM

& PS so sorry to hear that bad kidney news, guess it isn't appropriate to suggest a stiff whisky but I hope the thought raises a smile on your dial

Kind regards

D

dsm wrote:... Re the SpO2 data - you mention having desats but I can't see any in the data ? - unless they are very tiny (not visible in the current granularity). ...

Oops. It was in the previous day's data. Not all that many, but some were there. And frankly, those might have been due to moving my finger. I guess I'm just being a worry wart, what with all my other cheery news.

dsm wrote:... I think we have the same SpO2 device & am sure my program allows the granularity to be adjusted. ...

Yup. I'm just learning how to use this device.

dsm wrote:... guess it isn't appropriate to suggest a stiff whisky but I hope the thought raises a smile on your dial ...

Appropriate any ol' day in these parts! Fortunately, it's not as bad for me as a few doughnuts or a big bowl of pasta. So, not all my vices will be denied me!

JohnBFisher wrote:The H1N1 testing was quite unreliable (both false positives and false negatives). So, I am fairly certain the numbers for H1N1 deaths included garden variety seasonal flu and/or other things completely.

That depends on whether they even tested at all. If they did test, and the collection methodology was adequate, then I think the rapid influenza diagnostic test (RIDT) positive predictive value is about 90% and negative about 30%, as measured against the "gold standard" rRT-PCR assay.

Muffy

JohnBFisher wrote:I'm not sure if the PFT would show any vocal cord dyskinesia, if it is there, since that particular symptom is not consistently apparent. It was not an issue on the day I had the ABG and PFT tests.

I guess we're back to the positive vs negative predictive value.

At any rate, the FV Loops may reveal some flattening in the inspiratory limb:



Perhaps serial Loops would be a good way to track this.

Muffy

Muffy, all I can say is: Wow! I love the chance to learn more about how we work, as I do here! It's fascinating. And I expect some good Google searches from what you provide will lead to hours of reading pleasure.

Of course that will just lead to me being confused at a higher plane of existence!

I will do my best to try to track down the full PFT reports. Unfortunately, due to new doctor appointments it will take me some time to try to try to get the reports. Thanks for your patience. I will keep you updated.